Individual ProviderNima Hafezi NejadRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-5000PECOS EnrollmentBased on the most recent information from CMS, provider Nima Hafezi Nejad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1184151987Provider TypeIndividualFull NameHafezi Nejad, NimaGenderMaleSole ProprietorNoEnumeration Date5/11/2017Last Updated8/15/2023Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-5000FaxUnlisted FaxMailing LocationMailing Address601 N Caroline St # 3150, Baltimore, MD 21287-0006Phone(410) 955-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD88080Maryland